Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,804.43 / $5,412.00 / $11,024.00	Facility		$2,804.43	$5,412.00	$11,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,349.88 / $2,568.96 / $3,268.05	Professional		$2,349.88	$2,568.96	$3,268.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,738.20 / $20,977.18 / $29,216.95	Facility		$12,738.20	$20,977.18	$29,216.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,243.46 / $2,868.90 / $4,743.14	Professional		$2,243.46	$2,868.90	$4,743.14
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $910.00 / $2,694.73 / $4,947.53	Professional		$910.00	$2,694.73	$4,947.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $2,764.30	Facility		$640.00	$640.00	$2,764.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,381.32 / $3,303.62 / $5,400.28	Professional		$2,381.32	$3,303.62	$5,400.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,310.08 / $2,956.90 / $3,439.68	Professional		$2,310.08	$2,956.90	$3,439.68
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,525.71 / $3,261.71 / $4,922.84	Facility		$2,525.71	$3,261.71	$4,922.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,134.00 / $3,551.00 / $4,892.00	Professional		$3,134.00	$3,551.00	$4,892.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,440.96 / $3,262.49 / $7,902.00	Facility		$2,440.96	$3,262.49	$7,902.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,440.96 / $3,262.49 / $7,902.00	Professional		$2,440.96	$3,262.49	$7,902.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,423.00 / $11,475.00 / $21,639.00	Facility		$6,423.00	$11,475.00	$21,639.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,984.43 / $3,166.20 / $4,665.72	Professional		$1,984.43	$3,166.20	$4,665.72